Provider Demographics
NPI:1891008314
Name:FLORES-GONZALEZ, JUAN ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:ALBERTO
Last Name:FLORES-GONZALEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1801 AVE PONCE DE LEON
Mailing Address - Street 2:SANTURCE MEDICAL MALL, 306
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-1900
Mailing Address - Country:US
Mailing Address - Phone:787-999-0441
Mailing Address - Fax:
Practice Address - Street 1:1801 AVE PONCE DE LEON
Practice Address - Street 2:SANTURCE MEDICAL MALL, 306
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1900
Practice Address - Country:US
Practice Address - Phone:787-999-0441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2016-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR18687207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease